- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $936.00 / $1,716.74 / $3,681.25
| Facility | | $936.00 | $1,716.74 | $3,681.25 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $858.37 / $858.37 / $2,079.56
| Facility | 52 | $858.37 | $858.37 | $2,079.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,595.00 / $14,595.00 / $16,054.50
| Facility | | $14,595.00 | $14,595.00 | $16,054.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $1,000.00 / $16,500.00
| Facility | | $1,000.00 | $1,000.00 | $16,500.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,360.00 / $9,239.00 / $15,000.00
| Facility | | $1,360.00 | $9,239.00 | $15,000.00 |